Individual
ABDUL-SAMI FAWAD SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
(702) 921-6823
(702) 549-5240
Mailing address
3540 W SAHARA AVE, SUITE 330, LAS VEGAS, NV 89102-5816
(702) 921-6823
(702) 549-5240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8548
NV
207R00000X
Internal Medicine Physician
8548
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236074
RAILROAD CARRIER
—
05
—
20-02406
—
NV
Enumeration date
09/05/2006
Last updated
10/07/2016
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